During the first hour of the fourth stage of labor, the nurse should assess vital signs, fundal consistency, and amount of vaginal bleeding every _____ minutes
a. 5
b. 15
c. 25
d. 30
ANS: B
Assessment of vital signs every 15 minutes allows the nurse to detect early signs of low blood volume (increased pulse and respirations). A soft uterus also reflects the potential for excessive bleeding.
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The nurse is providing discharge education for a patient with restless leg syndrome. The following statement by the patient indicates a need for further education:
a. "I should avoid all caffeine." b. "I can using leg massage and knee bends." c. "Taking magnesium supplements may be helpful." d. "Taking a walk regularly may be helpful."
Dr. Smith completed an ethmoidectomy. He removed the sinus located ____.
Fill in the blank(s) with correct word
The nurse explains that unlimited television viewing:
a. Can displace active recreation b. Offers broad topics for conversation c. Will enhance school performance d. Will broaden how the child feels about life
The nurse knows that the patient taking aripiprazole (Abilify) 20 mg/day PO requires which specific follow-up assessment?
1. Vital signs each visit 2. Height and weight at each visit 3. Weekly assessment for extrapyramidal symptoms 4. Every six month checks for tardive dyskinesia